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30 Cards in this Set

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  • Back
What is the definition of infertility?
One year of no conception without use of contraception.
How many cycles can one expect to attempt before successful pregnancy?
3-4 cycles can be normal.
How is semen analyzed?

What portion of collection is most important?
Via semen analysis. Should always be examined.

First few drops of semen are where the most active spermatozoa reside.

Must analyze several times.
What is the volume of normal sperm ejaculate
2-5 mL. 10/20 million sperm/mL is normal amounts.
What is the SINGLE MOST IMPORTANT FACTOR IN ASSESSING REPRODUCTIVE CAPACITY OF SEMEN?
Sperm motility!W
If azopermy is the problem, what could be causes?
1) Orchitis (mumps)

2) Ischemia to testes

3) Chromosomal abnormalities (klinefelter)
If azospermy is problem and testes are normal, what should be considered?
DUCTAL OBSTRUCTION
When is it indicated to perform intrauterine insemination?
1) Cervical infertility

2) Poor sperm motility

3) PERFORM when it is ovulatorily appropriate
What is a spinnbarkheit?
A string of mucosa that appears around the time of ovulation.

Multiple tests AROUND time of ovulation w/o spinnbarkheit could be a problem.
How many days post-ovulation does menses occur/
14 days +/- 2 days.
What is the relevance of body temperature testing during ovulation?
Increase in body temperature due to progesterone released from corpus luteum.

This rise in temperature may persist if pregnancy occurs.
What is the minimum amoutn of progesterone to be present at time of ovulation?
>3 ng/ml
Amenorrhea is almost always associated with what?
FAILURE OF OVULATION.

Length of post-ovulatory phase is NOT VARIABLE.
Why is it important to distinguish between oligomenorrhea or amenorrhea?
Important because women with oligomenorrhea are much better CANDIDATES for ovulation indction.
What is the effect of stress on menstrual cycle?
Stress can block LH surge. Cortisol blocks GnRH as well. i
What is the definition of infertility?
One year of no conception without use of contraception.
How many cycles can one expect to attempt before successful pregnancy?
3-4 cycles can be normal.
How is semen analyzed?

What portion of collection is most important?
Via semen analysis. Should always be examined.

First few drops of semen are where the most active spermatozoa reside.

Must analyze several times.
What is the volume of normal sperm ejaculate
2-5 mL. 10/20 million sperm/mL is normal amounts.
What is the SINGLE MOST IMPORTANT FACTOR IN ASSESSING REPRODUCTIVE CAPACITY OF SEMEN?
Sperm motility!W
If azopermy is the problem, what could be causes?
1) Orchitis (mumps)

2) Ischemia to testes

3) Chromosomal abnormalities (klinefelter)
If azospermy is problem and testes are normal, what should be considered?
DUCTAL OBSTRUCTION
When is it indicated to perform intrauterine insemination?
1) Cervical infertility

2) Poor sperm motility

3) PERFORM when it is ovulatorily appropriate
What is a spinnbarkheit?
A string of mucosa that appears around the time of ovulation.

Multiple tests AROUND time of ovulation w/o spinnbarkheit could be a problem.
How many days post-ovulation does menses occur/
14 days +/- 2 days.
What is the relevance of body temperature testing during ovulation?
Increase in body temperature due to progesterone released from corpus luteum.

This rise in temperature may persist if pregnancy occurs.
What is the minimum amoutn of progesterone to be present at time of ovulation?
>3 ng/ml
Amenorrhea is almost always associated with what?
FAILURE OF OVULATION.

Length of post-ovulatory phase is NOT VARIABLE.
Why is it important to distinguish between oligomenorrhea or amenorrhea?
Important because women with oligomenorrhea are much better CANDIDATES for ovulation indction.
What is the effect of stress on menstrual cycle?
Stress can block LH surge. Cortisol blocks GnRH as well. i